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[Tumor necrosis factor blocking agents: a review. Part II: safety and recommendations]
C Rodríguez Moreno1, P López Vázquez, C Durán Parrondo
1Servicio de Farmacología Clínica, Complexo Hospitalario Universitario, Santiago de Compostela, A Coruña. carlos.rodriguez.moreno@sergas.es
Monoclonal antibodies targeting tumor necrosis factor (TNF) are effective for autoimmune diseases like rheumatoid arthritis. However, these TNF-blockers carry risks that necessitate careful management and recommendations for use.
Area of Science:
- Immunology
- Pharmacology
Context:
- Autoimmune diseases such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and Crohn's disease involve chronic inflammation.
- Tumor necrosis factor (TNF) plays a key role in the inflammatory processes of these conditions.
Purpose:
- To review the clinical evidence on the benefits and risks of using TNF-blockers in their approved indications.
- To offer practical recommendations for managing autoimmune conditions with TNF-blockers.
Summary:
- Monoclonal antibodies targeting TNF are effective in reducing symptoms and disease progression in several autoimmune conditions.
- The use of TNF-blockers can disrupt immune balance, leading to potential risks that require careful consideration.
- This review synthesizes current evidence to guide the safe and effective application of TNF-blockers.
Impact:
- Provides clinicians with evidence-based guidance for optimizing TNF-blocker therapy in autoimmune diseases.
- Highlights the importance of balancing therapeutic benefits against potential adverse effects associated with TNF inhibition.
- Contributes to improved patient outcomes through informed decision-making in the management of chronic inflammatory conditions.
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